introduction to disasters daniel kollek, md, ccfp(em) director, centre for excellence in emergency...
TRANSCRIPT
![Page 1: Introduction to Disasters Daniel Kollek, MD, CCFP(EM) Director, Centre for Excellence in Emergency Preparedness Associate Professor, Division of Emergency](https://reader035.vdocuments.us/reader035/viewer/2022062515/56649cf85503460f949c9a64/html5/thumbnails/1.jpg)
Introduction to Disasters
Daniel Kollek, MD, CCFP(EM)Director, Centre for Excellence in Emergency PreparednessAssociate Professor, Division of Emergency MedicineMcMaster University
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Disaster
• The Merriam-Webster dictionary definition of disaster is "a sudden or great misfortune."
• The Medical definition if a disaster is "when the destructive effects of an event overwhelm the ability of a given area or community to meet the demand for health care."
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How have health care systems
dealt with disaster in the past?
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September 11, 2001- NYC
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September, 2002 - Jerusalem
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The new kid on the block
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What kind of disasters
might we face and how do we assess our risk?
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Natural disaster
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Natural Events
• Hurricane/Tornado• Severe
Thunderstorm• Snowfall• Blizzard• Ice Storm• Earthquake• Tidal wave
• Drought• Flood - external• Wild fire• Landslide• Volcano• Epidemic• Extreme
temperature
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Technological disaster
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Technological events
• Electrical failure• Generator failure• Transportation
failure• Fuel Shortage• Natural gas failure• Water failure• Sewage failure• Steam failure• Structural damage
• Fire alarm failure• Communications failure• Medical gas failure• Medical vacuum failure• Info. systems failure• Fire – internal• Flood – internal• Hazmat exposure –
internal• Supply failure
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Man-made disasters
Anthrax envelope - 2001
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Human events
• MCI – Trauma• MCI - Medical• MCI – Hazmat• Hazmat – external• Terrorism – chemical• Terrorism – biological• Terrorism -
radiological
• VIP situation• Infant abduction• Hostage situation• Civil disturbance• Labor action• Forensic admission• Bomb threat
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For each event you must assess risk
• What is the probability of occurrence?
• What impact would it have?
• What is your preparedness?
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How do we characterise disasters?
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By settings (from local to global)
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By timeline (from static to dynamic)
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By Phase
Planning & Mitigation
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By Phase
Disaster response
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By Phase
Recovery
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There are common threads in most disasters
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A disaster often has multiple patients
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A disaster always has multiple players
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The Players:
• Police• Fire• EMS• Hospitals• Volunteers• Public health
• Elected officials• Civil servants• Utilities• Transit• Provincial / Federal
agencies• Media
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Whatever the case….
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What you need in a disaster
• Supplies
• Equipment
• Manpower
A system to deliver this to you in a useful fashion
• Information
• Guidance
• Money
and……..
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Incident Managementis the system
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IMS is the system
used for command
and control of a disaster
response
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IM Systems have
standard components
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IM Systems have a
standard command structure
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Response guided by IMS
will have a standard sequence of events
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Do it right and you will become
the…..